obesity liability & insurance information institute 110 william street new york ny 10038 212 346 5500 www iii org robert p hartwig ph d cpcu senior vice president chief economist claire wilkinson director global issues 2 introduction overweight and rates in the us europe are on rise triggering major public health concerns related illnesses such as heart disease certain types of cancer second leading preventable cause premature death today behind tobacco according to latest data 1999 2000 national nutrition examination survey nhanes nearly two thirds adults either or obese there twice many children three times adolescents were 1980 exhibit 1 percentage adult americans who is great those smoke a study from rand corporation estimates that with clinical severe about 100 pounds increased one 200 1986 50 was also named top story 2003